404 N CITRON STPermit Types
BLD ELE MEC PLM
X
Permit Number: BLD2022-05166
Issued: 10/3112022
www.anaheim.net/building
(714)765-4626
Quarter Section: 72
Site Address: 404 N CITRON ST, ANAHEIM, CA 92805
Legal Description: N TR 1391 BLK LOT 5
APN: 03421405
Project Description: Electrical for 200A main panel upgrade
CITY OF ANAHEIM
BUILDING DIVISION
200 S. ANAHEIM BLVD.
(7141765 -5153
Living Area: Number of Stories: 0 Valuation: 0.00
Garage Area: Constriction Types: NIA
Carport Area: Occupancy Groups:
Balcony I Deck Area: Fire Sprinldered:
Cool Root Total Fees paid for Permit: 167.00
People Associated with Project:
Permit Applicant Raymond Lezema
Owner SANDOVAL CLEMENTE 8 ROSALSA 404 N CITRON ST
Type Electrical Fixtures Qty Type Plumbing Fixtures Qty Mechanical Fixtures Qty
Motor/Disc Sw - Under 600 V, up to 200 1
amps
The permit shall expire by limitation and become null and void If the building or worts has not passed final Inspection 365 days from the
date of permit Issuance. A new permit is required to commence or continue work.
P�PNEIM CqC
City of Anaheim o� �o
Building Division F z
u >
DED %�h^
Do not occupy this buildinq until the final inspections have been made.
FINAL INSPECTIONS DATE INSPECTOR
All applicable items below must be signed before utilities are released
Final Gas Test
Electrical Final
Plumbing Final
Mechanical Final
Cross Connection Control (714) 765-4280
Engineering Final (714) 765-5126
INSPECTION DATE I INSPECTOR
Fire Sprinkler (ONLY) (714) 765-5041
Do not pour concrete until the following applicable items have been signed:
Fire Dept. Final (714) 765-5041
Plumbing (Ground/Underfloor Drain Waste)
Water Engineering (714) 765-4591
Electrical Ground Electrode/Ufer
Sub List/Bus. Lic. (714) 765-5194 (Allow 10 business days)
Setback/Forms/Trenches (Footings)
COAIMigation Measures
Do not install subfloor or pour floor slab until the follwing applicable items have been
sinned:
Building Final (714 765-5153)
Last Inspection-Final Only After Above Completed
Plumbing (Ground/Underfloor Water)
Underfloor Rough Gas
PARTIAL INSPECTIONS
Building Inspections
fl
Mechanical (Groundwork)
Electrical (Underground Conduit)
Pre-slab (Compaction/Membrane Reinf.)
Floor (Joist/Girders)
��11
Underfloor Insulation (Raised Foundation Only)
b U b
Floor Nailing (Raised Foundation Only)
2nd Floor (Floor Nailing)
Li I • _j
Do not cover or conceal the work below_ until the following applicable items have
been s'
1st Floor Shear
Firesprinkler (Rough) (Fire Dept.)
Mechanical Inspections
2nd Floor Shear
Roof (Sheathing/Diaphragm/Frame)
Masonry (Reinf./Bond Beam/Pre-Grout)
Rough Plumbing (Top Out)
Rough Duct (Mechanical)
Rough Mechanical
Rough Electrical
Rough COA/Mitagation Measures
Plumbinq Inspections
Framing (Only after Plbg., Ele., Mec. & Fire)
Insulation (Sound/Energy)
Do not tape or plaster until the following applicable items have been signed:
Drywall
Drywall Penetrations (Ele, Mec & Plbg)
Interior Lath
Exterior Lath
Electrical Inspections
Electrical Service Meter-(Meter will be set within 2-3
business days after approval) Excludes New
Construction
Exterior Plaster (Brown Coat)
T-Bar (Struct., Ele., or Mec.)
Grease Interceptor
(Do not back nless sinned nffl
Sewer
Water Engineering Backflow (Testable Only)
Water Service
Permit Types _
BLID ELE MEC PLM
X
Permit Number: BLD2022-05166
Issued: 10/31/2022
www.anaheim.net/building
(714)765-0626
Quarter Section: 72
Site Address: 404 N CITRON ST, ANAHEIM, CA 92805
Legal Description: N TR 1391 BLK LOT 5
APN:03421405
CITY OF ANAHEIM
BUILDING DIVISION
200 S. ANAHEIM BLVD.
(7141765.5153
WORKER'S COMPENSATION DECLARATION:
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES
AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED
FOR IN SECTION 3706 OR THE LABOR CODE. INTEREST, AND ATTORNEYS FEES.
I hereby affirm under penalty of perjury one of the following declarations:
I have and will maintain a certificate of consent to self -Insure for worker's compensation, issued by the Director of Industrial Relations as provided for by
Section 3700 of the Labor Code, for the performance of the work for which this permit Is Issued.
1 have and will maintain worker's compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which
this permit is issued. My worker's Compensation insurance carrier and policy are:
Cartier. STATE COMPENSATION INSURANCE FUND Policy No.: 9303073 Expiration Date: 8/3/2023
Name of Agent:. Phone No.:
I certify that in the performance of the work for which this permit is issued, I shall not employ any person In any manner so as to become subject to the
workepensation laws of Ca' mia, and a roe that, If I should become subject to the worker's compensation provisions of Section 3700 of the
Laborl shot to
o ply with tho provisions.
Signature
,jCode,
Date
DECLARATION REGARDING CONSTRUCTION LENDING AGENCY:
I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit Is Issued
(Sec.3097.Civ.C):
Lender's Name:
Lender's Address:
LICENSED CONTRACTOR'S DECLARATION:
1 hereby affirm under the penalty of Perjury that I am licensed under rovisions of chapter 9 (commencing with Section 7000) of Division 3 of the Business and
Professions Code, and my ficonsole full force and ct.
22
Contractor Signa Date
NUMBER EXPIRATION DATE LICENSE TYPE (S)
977779 10/31/2024 C70